MEDICARE: JONNIE MAY CARES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1619844933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JONNIE MAY CARES LLC

Provider Business Mailing Address
First Line	:	1081 LINCOLN AVE
Second Line	:
City	:	POMONA
State	:	CA
Zip	:	91767-4257
Country	:	US
Telephone Number	:	909-243-0828
Fax Number	:

Provider Business Practice Location Address
First Line	:	1081 LINCOLN AVE
Second Line	:
City	:	POMONA
State	:	CA
Zip	:	91767-4257
Country	:	US
Telephone Number	:	909-243-0828
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. STEPHEN D ANDREWS
Credential	:	HHP, LPN
Telephone Number	:	909-243-0828

Provider Enumeration Date	:	10/21/2025
Last Update Date	:	04/10/2026

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Directions to “JONNIE MAY CARES LLC ” Practice Location

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